SynthesisThe American journal of clinical nutrition2013
Belief beyond the evidence: using the proposed effect of breakfast on obesity to show 2 practices that distort scientific evidence.
Synthesis in The American journal of clinical nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03031132 (The Effects of a High Protein Breakfast on Appetite and Sleep in Young Adults), which is not on this map. Cited by 78 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effects of a High Protein Breakfast on Appetite and Sleep in Young Adults
Who cites it
78 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A systematic review of the relationship between portion size and indexes of adiposity in children.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Prevention and treatment of childhood and adolescent obesity: a systematic review of meta-analyses.World journal of pediatrics : WJP · 2019Pooled it
- Causal language and strength of inference in academic and media articles shared in social media (CLAIMS): A systematic review.PloS one · 2018Pooled it
- Pooled it
- Pooled it
- Trial
- Skipping Breakfast for 6 Days Delayed the Circadian Rhythm of the Body Temperature without Altering Clock Gene Expression in Human Leukocytes.Nutrients · 2020Trial
- Trial
- Effects of breakfast eating and eating frequency on body mass index and weight loss outcomes in adults enrolled in an obesity treatment program.Journal of behavioral medicine · 2017Trial
- Breakfast Macronutrient Composition Influences Thermic Effect of Feeding and Fat Oxidation in Young Women Who Habitually Skip Breakfast.Nutrients · 2016Trial
- The causal role of breakfast in energy balance and health: a randomized controlled trial in obese adults.The American journal of clinical nutrition · 2016Trial
- Barriers, Benefits, and Behaviors Related to Breakfast Consumption Among Rural Adolescents.The Journal of school health · 2016Trial
- A pilot study examining the effects of consuming a high-protein vs normal-protein breakfast on free-living glycemic control in overweight/obese 'breakfast skipping' adolescents.International journal of obesity (2005) · 2015Trial
- Usual breakfast eating habits affect response to breakfast skipping in overweight women.Obesity (Silver Spring, Md.) · 2015Trial
- A randomized crossover, pilot study examining the effects of a normal protein vs. high protein breakfast on food cravings and reward signals in overweight/obese "breakfast skipping", late-adolescent girls.Nutrition journal · 2014Trial
- The causal role of breakfast in energy balance and health: a randomized controlled trial in lean adults.The American journal of clinical nutrition · 2014Trial
- The effectiveness of breakfast recommendations on weight loss: a randomized controlled trial.The American journal of clinical nutrition · 2014Trial
- Associations between temporal meal patterns, cardiovascular risk factors and cardiovascular disease in Swedish adults: cross-sectional and nested case-control analyses.European journal of nutrition · 2026Article
- Beyond calories: the effect of meal patterns on obesity risk in the IRanian National Obesity Registry.Journal of cardiovascular and thoracic research · 2026Article
- Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
Authors and funding
3 authors.
Funding
Abstract
backgroundVarious intentional and unintentional factors influence beliefs beyond what scientific evidence justifies. Two such factors are research lacking probative value (RLPV) and biased research reporting (BRR).
objectiveWe investigated the prevalence of RLPV and BRR in research about the proposition that skipping breakfast causes weight gain, which is called the proposed effect of breakfast on obesity (PEBO) in this article.
designStudies related to the PEBO were synthesized by using a cumulative meta-analysis. Abstracts from these studies were also rated for the improper use of causal language and biased interpretations. In separate analyses, articles that cited an observational study about the PEBO were rated for the inappropriate use of causal language, and articles that cited a randomized controlled trial (RCT) about the PEBO were rated for misleadingly citing the RCT.
resultsThe current body of scientific knowledge indicates that the PEBO is only presumed true. The observational literature on the PEBO has gratuitously established the association, but not the causal relation, between skipping breakfast and obesity (final cumulative meta-analysis P value <10(-42)), which is evidence of RLPV. Four examples of BRR are evident in the PEBO literature as follows: 1) biased interpretation of one's own results, 2) improper use of causal language in describing one's own results, 3) misleadingly citing others' results, and 4) improper use of causal language in citing others' work.
conclusionsThe belief in the PEBO exceeds the strength of scientific evidence. The scientific record is distorted by RLPV and BRR. RLPV is a suboptimal use of collective scientific resources.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.